Active NPI
Leilani Friesen
- Dentist
- Las Vegas, NV
National Provider Identifier
1144746355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6953
- Practice address
- 1700 W Charleston Blvd
Las Vegas, NV 89102 - Phone
- (702) 774-2400
- Fax
- (702) 774-2400
- NPI assigned
- Aug 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6953 | NV | Primary |
Addresses
Primary practice location
1700 W Charleston Blvd
Las Vegas, NV 89102
Mailing address
1700 W Charleston Blvd
Las Vegas, NV 89102-2335
Phone (702) 774-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6953 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents, Nevada System of Higher Education | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Las Vegas, NV
- NPI 1053414862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1144746355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022335",
"telephone_number": "702-774-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-774-2400",
"fax_number": "702-774-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIESEN",
"first_name": "LEILANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.